DIC kye ki? Embeera ey’akabi ng’omusaayi gukola munda mu mubiri (Disseminated Intravascular Coagulation) .

Teebereza ng’ovaamu omusaayi mu bwangu nga tofuddeeyo okuva mu mubiri gwo gwonna, era n’otuuka n’okunyiga buli wamu. Kino ddala kitiisa, si bwe kiri? Leero tugenda kwogera ku mbeera ey’amaanyi bwetyo, naye nga etali ya bulijjo nnyo. Kino mu by’obujjanjabi kiyitibwa Disseminated Intravascular Coagulation, oba DIC mu bufunze. Ka twogere ku nsonga eno mu ngeri ennyangu, mu ngeri gy’osobola okutegeera.

Mu ngeri ennyangu, DIC kye ki?

DIC kizibu kizibu nnyo era kya maanyi ekibaawo mu nkola yaffe ey’okuzimba omusaayi. Waliwo ekintu ekyewuunyisa ennyo ekibaawo mu kino. Ku ludda olumu, obutoffaali obutono obw’omusaayi bungi butandika okutondebwa munda mu misuwa gy’omusaayi mu mubiri mu ngeri eteetaagisa. Ate kino kireetera ekintu ekisinga obukulu ekiyamba okuzimba omusaayi okuggwaawo, ekivaako omusaayi ogutafugibwa .

Bubonero ki obulaga nti omuntu alina DIC?

Mu mbeera eno, enkola zombi ez’okuzimba omusaayi n’okuvaamu omusaayi zibaawo mu kiseera kye kimu, n’olwekyo obubonero buyinza okuvaayo nga bwekuusa ku byombi.

Lwaki DIC eno ebaawo? Ka tukitunuulire mu bujjuvu katono.

Kino okukitegeera, tulina okusooka okutegeera katono ku ngeri emibiri gyaffe gye gizimbamu mu budde obwa bulijjo. Kuba akafaananyi ng’olina akasala akatono ku mukono. Mu kiseera ekyo, obutoffaali obuyitibwa platelets mu musaayi gwaffe n’ebintu ebizimba omusaayi ebikolebwa ekibumba bikwatagana ne biziba ekiwundu ne biyimiriza okuvaamu omusaayi. Kiba ng’okukozesa amatoffaali (platelets) ne seminti (proteins) okusiba ekituli mu bbugwe.

Naye mu nsonga ya DIC, enkola eno etaataaganyizibwa ddala.

Omutendera ogwokubiri ogw’embeera ya DIC

1. Omutendera 1 (Blood Clots): Olw’embeera y’obujjanjabi ey’amaanyi, enkumi n’enkumi z’obutundutundu obutono obw’omusaayi butandika okutondebwa mu misuwa emitono mu mubiri gwonna. Kino kisalako omusaayi mu bitundu ebikulu ng’obwongo, ensigo n’amawuggwe. Kiringa buli kaguudo akatono mu kibuga kazibiddwa mu bwangu.

2. Omutendera ogw’okubiri (Okuvaamu omusaayi): Bwe tukola omusaayi oguteetaagisa, omubiri gwaffe gukozesa obutoffaali bwonna obuyitibwa platelets ne proteins ezizimba omusaayi. Kati, singa ekiwundu kibaawo ddala, omubiri tegulina "matoffaali na seminti" ebyetaagisa okukiggala. Ekivaamu kwe kuvaamu omusaayi ogw’amaanyi, ogutafugibwa.

Ani ali mu bulabe obw’amaanyi obw’okulwala DIC?

Nga bwe twagambye emabegako, kino kiva ku mbeera endala ey’amaanyi. N’olwekyo, abantu abalina embeera zino wammanga bali mu bulabe bwa maanyi okukwatibwa DIC:

Kino abasawo bakizuula batya?

DIC etera okubaawo mu muntu eyaweebwa edda mu ddwaaliro era ng’afuna obujjanjabi olw’embeera y’obujjanjabi ey’amaanyi. Omusawo wo ajja kwetegereza n’obwegendereza obubonero bwo n’ebyafaayo byo eby’obujjanjabi. Ng’oggyeeko ekyo, bagenda kukola okwekebeza omusaayi okw’enjawulo okuwerako okukakasa embeera eno.

• Complete Blood Count (CBC): Kebera oba omuwendo gwa platelet mutono.
• Obudde bwa Prothrombin (PT) ne Partial Thromboplastin Time (PTT): Pima obudde omusaayi bwe gutwala okuzimba.
• Okukebera fibrinogen: Kukebera omutindo gwa puloteyina ayamba omusaayi okuzimba.
• D-dimer test: Ekintu ekikolebwa ng’omusaayi gukutuse mu mubiri. Emitendera egy’oku ntikko egya kino kabonero akakulu aka DIC.

Bujjanjabi ki obukolebwa ku kino?

Omutendera ogusinga obukulu era ogusooka mu kujjanjaba DIC kwe kujjanjaba embeera y‟obujjanjabi eyaliwo (e.g., sepsis) eyaleeta embeera eno. DIC yokka tesobola kuwona nga tetujjanjabizza ekyo.

Nga bawa obujjanjabi obwo obusooka, abasawo bakola bino wammanga okufuga DIC:

• Okuteekebwamu mu musaayi: Okuzzaawo puloteyina (clotting factors) ezeetaagisa omusaayi okuzimba.
• Okugaba obutoffaali obukola omusaayi n’obutoffaali obumyufu: Okuzzaawo obutoffaali obuyitibwa platelets n’obutoffaali obumyufu obubadde buweddewo olw’okuvaamu omusaayi.
• Eddagala eriziyiza okuzimba omusaayi:Mu mbeera ezimu, eddagala lino (eryakendeeza omusaayi) liweebwa okufuga okuzimba omusaayi okuteetaagibwa.

Ddi lwe weetaaga okulaba omusawo mu bwangu?

Singa ggwe oba omuntu gw’omanyi mulwadde nnyo era obubonero buno wammanga ne bulabika mu bwangu, genda mu ddwaaliro mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) mu bwangu .

• Singa wabaawo omusaayi omungi ogutasobola kuyimirizibwa .
• Singa ofuna obubonero bw’okulwala omutima (okulumwa ennyo mu kifuba, okukaluubirirwa okussa).
• Singa obubonero bw’okusannyalala (okugwa ku ludda olumu olwa ffeesi, okukaluubirirwa okwogera, okubulwa okuwulira mu mukono) bulabika.

DIC esobola okuwona ddala?

Yee, mazima ddala kisoboka. Singa ekivaako DIC kifugibwa bulungi , omulwadde asobola okuwona mu bujjuvu. Obujjanjabi obuyamba, gamba ng’okuteekebwa mu plasma n’okuteekebwamu omusaayi, busobola okuyamba okuzzaawo enkola y’omusaayi okuzimba.

Okubeera ne DIC kitegeeza nti walwana dda embeera endala ey’obujjanjabi ey’amaanyi. Kale, kiyinza okukuteeka ku situleesi okukola ku kusoomoozebwa kuno okw’ongera. Naye, goberera ddala ebiragiro by’omusawo wo.

• Eddagala eriragiddwa limira mu kiseera ekiragiddwa ne mu ddoozi eragiddwa. Tolekera awo kumira ddagala lyonna oba okukyusa eddagala nga tolina magezi ga musawo.
• Tokozesa ddagala eriweweeza ku bulumi, vitamiini oba eddagala eddala ly’ogula mu dduuka ly’eddagala nga tewebuuzizza ku musawo.
• Bw’oba ​​omira eddagala eriziyiza okuzimba omusaayi, tegeeza buli musawo akukebera.

Kya bulijjo okuwulira ng’otya ng’otegedde embeera ey’amaanyi bwetyo. Naye jjukira nti eggwanga lyaffe lirina abasawo abakugu n’abakozi mu malwaliro abatendekeddwa okuddukanya embeera enzibu bwe zityo. N’olwekyo, kikulu nnyo okubasiga n’okunoonya obujjanjabi.